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<br />200704454 <br /> <br />State of Nebraska <br /> <br />Space Above This Line For Recorcing Data <br /> <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br /> <br />Each of the undersigned states as follows: <br />Non-Homestead <br /> <br />[II I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. No part of my homestead is presently situated on said real estate, nor will any of my homestead be <br />situated on said property in the future. However, if I establish a homestead on any part of said real estate <br />during the time the mortgage or deed of trust remains unsatisfied and is a lien upon the real estate, I will have <br />no right to make a designation of homestead in the event of a foreclosure or trustee's sale upon such mortgage <br />or deed of trust. <br /> <br />Homestead <br /> <br />o I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. My homestead is located on said real estate, and I .understand I have the right to make a designation of <br />homestead in the mortgage or deed of trust. If I waive or disclaim the right to designate my homestead I am <br />waiving rights, that I would otherwise have, to retain my homestead in the event of default upon such <br />mortgage or deed of trust. I hereby waive and disclaim the right to designate my homestead. <br /> <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />This disclaimer was signed before execution of the mortgage or deed of trust. <br /> <br />Dated: <br />State of Nebraska <br /> <br /> <br />tgagor/Trustor <br />ROBERT SCOTT GARCIA, AN UNMARRIED PERSON <br /> <br />Dated: <br /> <br />County of BUFFALO <br /> <br />The foregoing instrument was acknowledged before me this 9TH day of MAY. 2007 <br />by ROBERT GARCIA, AN UNMARRIED PERSON.; ROBERT SCOTT GARCIA. AN UNMARRIED PERSON. AS JOINT TENANTS <br /> <br />"'fa.~ttP,:;:,.. <br />i .. ~ <br />z Qe:NERAL"~:. <br />;1Ito:. NO';ZFff l*f <br />~"#~F,.,t.~~~l <br />"illni101 ~'_.'.~. <br /> <br />7JJliiJ~)~ <br />Notary Public <br />TONIA KONWINSKI <br /> <br />(Seal) <br /> <br />TONIA KONWINSKI <br />MY COMMISSION EXPIRES <br />May 15, 2009 <br /> <br />. .._.,. __... ._. _m'._.", <br /> <br />~ @1987 Bankers Systems, Inc., St. Cloud, MN Form DRDH-lAZ-NE 3/8/2001 <br /> <br />(page 1 of 1) <br />